Risk of bias

Health Management Glossary

Research Methods

Definition. Risk of bias is the likelihood that features of a study’s design or conduct lead to systematic error in its results.

Explanation

Domain-based tools assess bias in different study types, for example PROBAST for prediction model studies (Wolff et al., 2019). Large language models have been tested for automating risk of bias assessment, with mixed performance (Forero et al., 2025).

Related concepts

Systematic review GRADE approach Confounding Randomized controlled trial (RCT)

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References

Forero, D. A., Abreu, S. E., & Tovar, B. E. (2025). Automated analyses of risk of bias and critical appraisal of systematic reviews: A comparison of the performance of 4 large language models. Journal of the American Medical Informatics Association, 32 (9), 1471–1476. https://doi.org/10.1093/jamia/ocaf117

Wolff, R. F., Moons, K. G. M., Riley, R. D., Whiting, P. F., Westwood, M., Collins, G. S., Reitsma, J. B., Kleijnen, J., & Mallett, S. (2019). PROBAST: A tool to assess the risk of bias and applicability of prediction model studies. Annals of Internal Medicine, 170 (1), 51–58. https://doi.org/10.7326/M18-1376

Cite this entry: Kurutkan, M. N. (2026). Risk of bias. In The Health Topics glossary. https://healthtopic.org/glossary/risk-of-bias/

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